Pharmacy Technician Call Center - Remote US ID-17832

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

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Summary

The Pharmacy Technician for this WI project will serve as a subject matter expert in both pharmacy knowledge and call center operations. Key responsibilities include answering incoming calls, processing prior authorization requests accurately, and assisting providers with inquiries via various media platforms such as fax, secure messaging, and chat.

Your role in our mission
  • Ensure compliance with all PHI protocols and secure handling of confidential company data according to policy guidelines.
  • Process prior authorization requests within the timeframes mandated by the State client.
  • Complete authorization approvals for cases where all criteria are met, without the need for a pharmacist's clinical judgment.
  • Communicate effectively with providers regarding the status of their authorization submissions or other inquiries.
  • Follow standard operating procedures for incoming calls, utilizing knowledge and resources to resolve issues on the initial contact.
What we're looking for
  • Certified Pharmacy Technician.
  • At least 2 years of experience as a pharmacy technician in settings such as retail pharmacy, hospital pharmacy, managed care, insurance, or pharmacy benefit management.
  • Valid pharmacy technician license/certification/registration, as required by state law. If national certification is necessary, it must be from an accredited program (e.g., PTCB, ExCPT).
  • Proficiency with general computer skills, including Microsoft Office, internet usage, and email.
  • Flexibility to adjust work hours to meet peak demand times.
What you should expect in this role
  • Work from Home: Reliable high-speed internet connectivity is essential. Minimum requirements are 24 Mbps download and 8 Mbps upload, with higher speeds recommended for optimal performance.
  • Interview Requirement: Video cameras must be used during all interviews.
  • Schedule: Monday to Friday, fully remote.
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